Patient Forms

Fill Out the Forms at Home So Check-In Goes Faster

Download our new patient forms, complete them before your visit, and bring them to our Parma office. You will find patient registration, dental history, our financial agreement, and a referral form for prosthodontic care. If you have any trouble with a form, call us and we will help.

Your first visit should be about your smile, not a clipboard. At Ridge Road Family Dentistry, our new patient forms are ready to download so you can fill them out at home, at your own pace, with your insurance card close by.

Each form covers one part of getting you started. Registration and dental history tell us who you are and where your oral health stands today, and the financial agreement explains our payment terms before any treatment begins. If you were referred to us for prosthodontic care, please include the referral form as well. Print them, complete them, and bring them with you so check-in goes quickly.

Patient Registration

Your contact and insurance details, to set up your patient file.

Dental History

Your past treatments and current oral health, so we can plan care.

Financial Agreement

Our payment and treatment terms, for you to review and sign.

Referral Form

Your referral details, if you were sent to us for prosthodontic care.

Ready for Your First Visit?

Forms in hand? Request an appointment or call us, and we will find a time that works for you.

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Before

After
Dental Implants

Your Smile Could Be Next

Dr. Mouawia Ghiba

DMD, Prosthodontist

Dentists refer patients to Dr. Mouawia Ghiba for prosthodontic care, the specialty covering implants, dentures, and partials. He earned his DMD from Boston University in 1993, completed his prosthodontics specialty in 1996, and has held teaching appointments at Case Western University and UMDNJ.

More About Dr. Mouawia
Dr. Sami Awadallah

DDS

Dr. Awadallah has treated patients at this address since 1982. An Ohio State University graduate, he focuses on prevention and diagnosis, catching problems in your teeth and gums while they are still small and simple to fix.

More About Dr. Awadallah
Dr. Ahmad Ghiba

DDS

Dr. Ahmad Ghiba handles root canals, extractions, and restorations for patients of every age, along with esthetic and surgical care. A Detroit Mercy graduate, he plans each tooth for how it works and how it looks, and explains both before he starts.

More About Dr. Ahmad

Not Sure Which Doctor You Need? Ask Us

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Awesome! Must go. They actually care about their patients unlike most others in the area. Dr. Mouawia Ghiba is a maestro with his work. DeAnna his assistant also performs wonders. The office staff is also great at squeezing you in upon urgency. Thank you so much Ridge Road Family Dentistry!

Maxine Kebeiks

4 weeks ago
Dr. Ghiba does beautiful work and is a kind person.

Elizabeth Slayton

2 months ago
Great service from this dentist.Top notch staff and very friendly.I recommend this dentist to anyone looking for quality work.Full upper and lowers.Amazing!!!

Darrell Perrymond

5 months ago
I love this dentist. They have treated all my teeth issues and have always been awesome!!!Dr. Mouawia Ghiba is my main dentist and he always makes me laugh. His son is awesome as well. He filled my tooth today as an emergency.I always get in there soon when I’m having a problem and I never have to wait long.You always feel welcome here because everyone is so kind. All the hygienists, receptionists, and helpers are great as well. Everyone has treated me with the utmost respect.This place is the best. I definitely recommend it for everyone who needs great service by great people.Thank you for treating me so well and taking care of my teeth. I’m glad to be your client.See you guys next time. Keep up the great work.From Candice

Candice Parker

5 months ago
Hands down the best dental practice in northeast Ohio! I used to be terrified of going to the dentist until I found Ridge Road Family Dentist! Drs Ghiba and Dr Sami truly care about their patients! They always explain in detail what the patient needs and the procedures that are necessary. Their kindness is unlike any other dental practice that I have ever been to. They treat their patients like they are their friends. The assistants are both friendly and knowledgeable. The office staff goes above and beyond to make sure that your needs are met. They are always kind and professional! I truly cannot say enough about how great this practice is!! And if you’re someone that fears going to the dentist then choose them! I promise that your fears will be eliminated before you leave their office!

Michele Duncan

5 months ago
Getting my smile back and the staff and dentist been super I mean that. Thank you. Looking for a great family dentist stop by.

lester williams

6 months ago